Provider Demographics
NPI:1538033089
Name:REDDING, KOREIGH (RN COCN)
Entity type:Individual
Prefix:
First Name:KOREIGH
Middle Name:
Last Name:REDDING
Suffix:
Gender:F
Credentials:RN COCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1184 VZ COUNTY ROAD 3832
Mailing Address - Street 2:
Mailing Address - City:WILLS POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75169-6661
Mailing Address - Country:US
Mailing Address - Phone:469-323-4687
Mailing Address - Fax:
Practice Address - Street 1:1184 VZ COUNTY ROAD 3832
Practice Address - Street 2:
Practice Address - City:WILLS POINT
Practice Address - State:TX
Practice Address - Zip Code:75169-6661
Practice Address - Country:US
Practice Address - Phone:469-323-4687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-30
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1062834163WX1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX1500XNursing Service ProvidersRegistered NurseOstomy Care